Effectiveness of brief interventions in primary care for cannabis users aged from 12 to 25 years old: a systematic review

被引:2
作者
Chazal, Camille [1 ]
Roux, Charline [1 ]
Kinouani, Sherazade [2 ,3 ]
Schuers, Matthieu [4 ,5 ,6 ]
Fortin, Frederic [7 ]
Pereira, Bruno [8 ]
Blanc, Olivier [7 ]
Pinol-Domenech, Nathalie [9 ]
Brousse, Georges [7 ,10 ]
Vorilhon, Philippe [11 ]
Laporte, Catherine [7 ]
机构
[1] Univ Clermont Auvergne, Dept Gen Practice, F-63000 Clermont Ferrand, France
[2] Univ Bordeaux, Dept Gen Practice, F-33000 Bordeaux, France
[3] Univ Bordeaux, Bordeaux Populat Hlth Res Ctr, Team HLTH, INSERM,UMR 1219, F-33000 Bordeaux, France
[4] Normandie Univ, Dept Gen Practice, UNIROUEN, F-76000 Rouen, France
[5] CHU Rouen, Dept Biomed Informat, F-76000 Rouen, France
[6] Sorbonne Univ, LIMICS U1142, F-75015 Paris, France
[7] Univ Clermont Auvergne, Inst Pascal, CNRS, CHU Clermont Ferrand,Clermont Auvergne INP, F-63000 Clermont Ferrand, France
[8] CHU Clermont Ferrand, Direct Rech Clin, Biostat Unit, F-63001 Clermont Ferrand, France
[9] Univ Clermont Auvergne, Hlth Lib, Clermont Ferrand, France
[10] CHU Clermont Ferrand, Serv Psychiat B, F-63001 Clermont Ferrand, France
[11] Univ Clermont Auvergne, UR ACCePPT, F-63000 Clermont Ferrand, France
关键词
cannabis; primary care; general practitioners; brief interventions; adolescents; emerging adults; RANDOMIZED CONTROLLED-TRIAL; ADOLESCENT SUBSTANCE USE; ILLICIT DRUG-USE; MOTIVATIONAL INTERVENTION; REDUCE ALCOHOL; MARIJUANA USE; USE DISORDERS; FEASIBILITY; ASSIST; TEENS;
D O I
10.1093/fampra/cmac050
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction The aim of this systematic review was to assess the effectiveness of brief interventions realized in primary care in reducing cannabis use for adolescents and emerging adults. Methods PubMed, CINAHL, Embase, PsycInfo, and Central (Cochrane Library) were searched until December 2020. Randomized controlled trials conducted in primary care, concerning in-person brief interventions for non-medical cannabis users aged from 12 to 25 years old were eligible for inclusion. Brief interventions had to last 30 min or less. Patients with comorbid mental health disorder or very specific populations were not included. Results One thousand eighty hundred and fifty-five studies were identified through database searching; only 8 studies involving 2,199 patients were included for qualitative synthesis after double reading and data extraction. Randomized controlled trials selected were heterogeneous regarding screening tools, initial levels of cannabis use and cannabis outcomes measures. Brief interventions were all based on motivational interviewing techniques or personalized feedback. Seven studies consisted in a single session of brief intervention. Six studies involved also other substance users. No significant reduction of cannabis use after brief intervention was found for most studies, especially in the long term. A trend of decreased cannabis consequences, such as negative psychosocial repercussions, perception of cannabis use by peers, or driving under the influence of cannabis, was reported. Conclusion The current state of knowledge does not allow us to say that the brief intervention is effective in reducing cannabis use among adolescents in primary care. We found a mild positive effect on cannabis consequences after brief intervention. Mixed qualitative and quantitative studies are need to better evaluate the impact of brief intervention and his faisability. PROSPERO (International Prospective Register of Systematic Reviews): n degrees CRD42016033080.
引用
收藏
页码:1156 / 1168
页数:13
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